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1629165717
DAVID R. STASKIN
BRIGHTON, MA
NPI
1629165717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NY 225982)
Enumeration Date
2006-10-09
Last Update Date
2015-02-19
Business Address
DAVID R. STASKIN MD
11 NEVINS ST STE. 303
BRIGHTON, MA 02135-3514
Phone number: 617-787-8181
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Mailing Address
DAVID R. STASKIN MD
62 BROWN ST 5TH FLOOR, STEWARD MEDICAL GROUP PROVIDER ENROLLMENT
HAVERHILL, MA 01830-6778
Phone number: 978-722-7822
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